Individual
DR. JORDAN SUSANNE CONOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1316 MILL ST, CRAWFORDSVILLE, IN 47933-3644
(765) 362-9245
Mailing address
1566 TEMPLE DR, DANVILLE, IN 46122-7857
(317) 429-6376
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013151A
IN
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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